Clinical Studies on 76 Cases of Varicocele

Kim, Dong Kyun

Abstract

A clinical study was made on seventy-six cases of varicocele during the period from July l976 to December 1978. The following results were obtained. 1. Incidence of varicocele was 76 cases (12.1%) to 627 total in-patient 2. The age distribution was between 14 and 47 years of age, showing the highest incidence in 21 to 30 years of age (91.5%). 3. Lateralization showed 93.4% in left, 5.l% in both, 1.5% in the right 4. Among the symptoms on admission. inguinal dragging pain was noticed in 65%, scrotal weight bearing sensation in 60.5%, walking disturbance in 11.2% and symptomless in 10% 5. Among l6 cases of conservative treatment, there were improvement of the symptoms in 68.7% but recurrence in 25%, no improvement of the symptoms and mass in 31.3%. 6. Local anesthesia was better than spinal anesthesia on performing 64 cases of inguinal varicocectomy because of short and comfortable postoperative courses. 7. Testicular biopsies of 10 cases disclosed premature sloughing of germinal epithelium in 6 cases.tubular thickening in 2 cases, decreased spermatogenesis in 7 cases and normal testicular pattern in 1 case.